Notary Application Form - Form 1 (See rule 4(2)) Memorial

Form 1

(See rule 4(2))

Memorial

 

1. Name of the Applicant                 …………………………………..
2. Father’s Name                               …………………………………..
3. Date of Birth                                 …………………………………..
4. Whether SC/ST/OBC/General      …………………………………..
5. Address (residence)                      …………………………………..

                                                                  …………………………………..

                                                                  …………………………………..

                                                                  …………………………………..

                                                                  Pin……………………………….

            Telephone ………………….Fax………..………Email…………………………..………

6. Educational Qualifications
   (Please attach photocopies)……………………………………………………………….
7. Enrolment number & date
   (Please attach photocopies)……………………………………………………………….
8. Practising in :
   
   

Civil side                                       ………………………………………………………
Criminal side                                 ………………………………………………………
Taxation                                        ………………………………………………………
Revenue Courts                            ………………………………………………………

9. Whether Income Tax Assessee     ………………………………………………………
10. The Memorial of (name of the applicant in block letters)
    showeth                                         ………………………………………………………

            1.   that the memorialist is a person eligible for appointment as a notary under the
      notaries Act, 1952, and Clause (a) of rule 3 of the Notaries Rules, 1956;

2.      that the memorialists resides in ………………………………………………..
(here state the name of the local area or name of Court where he intends to practise) and will reside for upwards of …………………………………… (state how long);

3.      that the number of Notaries practising in the local area is insufficient for the requirements thereof ( the grounds of statement should be added);

4.      that the previous application of the memorialist, has been rejected or withdrawn by him within the preceding six months;

                  The memorialist therefore prays that the Government be pleased to appoint and admit him as a Notary under and by virtue of the Notaries Act, 1952 (53 of 1952) and Clause (a) of rule of the Notaries Rules, 1956 to practise in………………………………. …………………………………………………..(here state the name of the local area)

Dated …………………………………. Day of……………………………….

                  …………………………………………………..

                                                                               
Signature of the applicant.

 

Name and Address                                         Name and address                  Signature with
of Signatories                             Profession    of the firm/organisation          seal

 

1.

2.

3.

4.

5.

Note.- Under rule 4(3) the memorial should be countersigned by a Magistrate, a manager of a Nationalised Bank, a merchant and two prominent inhabitants of the area where he intend to practise as a notary.
 

(for information only)

1.     Memorial should be countersigned by a Magistrate, a Manager of a Nationalised  Bank, a merchant and two prominent inhabitants of the area where he intends to practice as a Notary 

( designation   seal and office seal of the above officials should  be affixed)

2.     Court Fee stamp worth Rs.5/- and a recent passport size photograph of the applicant should be affixed in the Memorial.

3.     Attested photocopies of the following Certificates should be enclosed with

the Memorial:-

(a)SSLC Book(page showing date of birth only)

(b)LL.B Degree Certificate

(c) Enrolment Certificate

(d)Certificate (in original) from the Bar Association concerned showing experience

of the applicant as a Lawyer

4.  Don’t leave any column unfilled.